PURCHASE ORDERS ONLY- use this form!  Virtual VCR Spring 2021 with Linda Rief!!   Registration Form
Use this form to sign up for the conference if you are using a PURCHASE ORDER.
Sign in to Google to save your progress. Learn more
Email *
Purchase Orders must be sent to: Katherine Knox, 124 Quinlan Farm Lane, Charlotte, VT 05445   A purchase order MUST be received
A purchase order must be received by Katherine BEFORE April 27th if you are to attend the conference.
Paying by Credit Card - STOP - use Paypal form above!
This form is only for those paying by purchase order.
Name *
Home address: *
Telephone: *
How are you paying for this conference? *
If you are paying using a PayPal Option/credit card - go directly to Payment option on website.
Total Cost for your Registration: *
What is the Purchase Order number?  Who will be paying for the Purchase Order?  Please add PO # and name & address.
Thank you!  If you are paying on line - please fill out the PayPal/Credit Card Payment option on this website.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy